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NPI Code Detail

MEDICARE: RIVER EDGE BEHAVIORAL HEALTH CENTER

MEDICARE: RIVER EDGE BEHAVIORAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1548193832
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER EDGE BEHAVIORAL HEALTH CENTER
Provider Business Mailing Address
First Line : 175 EMERY HWY
Second Line :
City : MACON
State : GA
Zip : 31217-3692
Country : US
Telephone Number : 478-803-7600
Fax Number :
Provider Business Practice Location Address
First Line : 146 ALLENWOOD RD SW
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-3613
Country : US
Telephone Number : 478-453-3294
Fax Number :
Authorized Official
Title or Position : BILLING DIRECTOR/ECR SYSTEM ADMIN
Name : JESSICA OAKES
Credential :
Telephone Number : 478-803-7809
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “RIVER EDGE BEHAVIORAL HEALTH CENTER ” Practice Location

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